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Routine use of paracetamol or opioids is not recommended Referral to orthopaedics : For consideration of joint replacement surgery when conservative measures have been exhausted For rheumatoid arthritis and other inflammatory arthropathies , NICE guidance (NG100 and QS33) emphasises early, aggressive treatment: Prompt referral to rheumatology : Within 3 working days of suspected inflammatory arthritis Disease-modifying antirheumatic drugs (DMARDs) : Should be started as soon as possible, ideally within 6 weeks of symptom onset

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The researchers found this promising in terms of mitigating some of the cardiometabolic issues that antipsychotic drugs may create

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